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2018 Future Wave Basketball Camp Form

2018 District Champions 2017 3rd Region Champions 2016 District Champions

2018 Future Wave Basketball Camp (Grades 1st-9th)

June 4th-8th from 9:00-2:00

(All campers will report to the high school gym each morning)

Please Note: All fields are REQUIRED and must be completed before registration is accepted.

Camper’s Name:___________________________________________________________          

Grade for 18-19 School Year:___________

Address:________________________________      Primary Phone:______________________

            _________________________________    Emergency Phone:___________________

Parent(s) Name:__________________________      Parents Cell Phone:__________________    

Circle Camper’s T-Shirt Size: YOUTH- S M L XL       ADULT: S M L XL XXL

Food Allergies: Circle   YES or NO                             If yes, what are they:_______________

By signing the form below, I hereby acknowledge that I WILL NOT HOLD Meade Co. Schools or the coaching staff responsible for accidents or emergencies that occur. I also acknowledge that my child, to the best of my ability, is healthy and physically sound and is able to participate in this event. I also attest that I will provide transportation to and from the camp site or will make sure reliable transportation will be available for my child.

Parent/Guardian Signature:___________________________     Date:___________________

Camp Fees:

$100 per camper (Includes full week of camp, camp shirt, meals, etc.…)

Early Bird Registration is $90 per camper if registered by May 15th

There will be a charge of $120 if you sign-up on the first day of camp

Make Checks Payable to: Meade County Boys Basketball
Please enclose registration form and check in envelope and mail to the address below


Mail Checks/Cash to: Coach Jason Tripure                          Contact Information

                                    Meade County High School              Head Coach Jason Tripure

                                    938 Old State Road               Email: jason.tripure@meade.kyschools.us

                                    Brandenburg, KY 40108        Work Phone: (270) 422-7520